j*****1
发帖数: 105 | 1 I have to say first that I am not neuroradiologist. My training in
neuroradiology is limited to my residency experience.
From the non-contrast enhanced CT head, which is not modality of choice for
brain space occupying lesion, and based on pt's hx, it does look a lot like
a abscess in the left frontal lobe. The lesion is ring-shaped with lots of
edema surrounding it and evidence of mass effect. In pt who developed the
symptoms in such a short period of time, abscess has to be considered first
un... 阅读全帖 |
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j*****1
发帖数: 105 | 2 I have to say first that I am not neuroradiologist. My training in
neuroradiology is limited to my residency experience.
From the non-contrast enhanced CT head, which is not modality of choice for
brain space occupying lesion, and based on pt's hx, it does look a lot like
a abscess in the left frontal lobe. The lesion is ring-shaped with lots of
edema surrounding it and evidence of mass effect. In pt who developed the
symptoms in such a short period of time, abscess has to be considered first
un... 阅读全帖 |
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g***r
发帖数: 285 | 3
you DO NOT diagnose TB by looking at CT scan, CT scan may or may not
differentiate pneumonia from lung mass,
if they diagnosed him with TB infection based on CT scan alone, they
probably saw cavitary lesions, which can be seen in TB infection, but also
in fungal infections or cancers,
you will need positive sputum culture, preferrably obtained from bronchial
washing from bronchoscopy(this will also aid in looking for endobronchial
lesions such as caner), TB takes long time to grow on culture, b |
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R****y
发帖数: 411 | 4 too small to see details, looks like a cavitary lesion in the right lower
lobe, can't tell if there are any lymph nodes |
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f****i
发帖数: 607 | 5 多谢您的回复。
他现在似乎症状好很多了，几乎不咳了，有一点痰也很少了。从医生开过五天的阿奇霉素
后也没有吃过什么药。
又看了一下医生的诊断书是说a cavitary lesion with aspergilloma。可能和一般的
真菌感染还有些不同。现在还是准备去约个好医院的pulmonologist再看看。 |
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B****J
发帖数: 586 | 6 嗯，这个？阿奇霉素是对付细菌的，你这个不是已经确诊了是真菌了吗？医生搞神马幺
蛾子？防止并发症？那也应该同时吃抗真菌的药。
换个医生看看吧，这个也太不靠谱了
多谢您的回复。
他现在似乎症状好很多了，几乎咳了，有一点痰也很少了。从医生开过五天的阿奇霉素
后也没有吃过什么药。
又看了一下医生的诊断书是说a cavitary lesion with aspergilloma。可能和一般的
真菌感染还有些不同。现在还是准备去约个好医院的pulmonologist再看看。 |
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